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Healthy Skepticism Library item: 9765

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Goldenberg MM.
Medicare and the New Generic Drug Legislation
P and T 2004; 29:(2):89-94


Abstract:

The Hatch-Waxman Act started the ball rolling for the introduction of generic drugs to the market, but because of the many loopholes associated with it, name-brand companies were able to stall legally (and sometimes illegally) the placement of these generic drugs on the market. Because of the awareness among consumers and their sensitivity to drug prices and the differences between name brands and generics, political pressure was exerted and Congress subsequently responded. Although the response was slow, changes to the law finally appeared in 2003. It is hoped that there will be less confusion regarding product placements for name-brand and generic companies. The Gregg-Schumer legislation clarifies that the FDA has the authority to allow generic drugs to enter the market for the original use, with modified labeling that ensures that products are safe and effective for use but does not include any information that is protected by patent or market exclusivity. For example, if a name-brand company is marketing a drug approved to treat hypertension and conducts studies revealing that the drug can also be used to treat cancer, a generic company is entitled to market the product for hypertension but not for cancer. This legislation would also allow generic companies to countersue and possibly avoid delay in getting their products to market. It also would block other tactics, including using pay-offs to generic companies to keep cheaper products out of the market. Because generics often grab 80% of a branded drug’s sales within just a few months after introduction, however, consumers, especially senior citizens, will continue to experience problems related to the high R& D costs of prescription drugs.

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909